Anterior opening wedge osteotomy of the proximal tibia for anterior knee pain in idiopathic hyperextension knees

Raaij, Tom M. van; Malefijt, J. de Waal

doi:10.1007/s00264-005-0063-x

Cited by 36 publications

(30 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Anteriorly based osteotomies tend to increase the tibial slope, whereas a more posteriorly based osteotomy can potentially negate the changes seen in the tibial slope. 16 Noyes has shown through his computerized model that the gap angle formed needs to be twice as large in the posterior tibia than the anterior tibia to maintain the native tibial slope. 12 Many studies 4,9 have documented the changes that occur in knee stability with changes in the tibial slope.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Plate Position and Size on Tibial Slope in High Tibial Osteotomy –A Cadaveric Study

Rubino

Schoderbek²,

Golish³

et al. 2010

J Knee Surg

View full text Add to dashboard Cite

Opening wedge high tibial osteotomies are performed for degenerative changes and varus. Opening wedge osteotomies can change proximal tibial slope in the sagittal plane, possibly imparting stability in the ACL-deficient knee. The aim of this study was to assess the effect of plate position and size on change in tibial slope. Eight cadaveric knees underwent opening wedge high tibial osteotomy with Puddu plates of each different size. Plates were placed anterior, central, and posterior for each size used. Lateral radiographs were obtained. Tibial slope was measured and compared with baseline slope. Tibial slope was affected by plate position (P,0.05) and size (P,0.001). Smaller, posterior plates had less effect on tibial slope. However, anterior and central plates increased tibial slope over all plate sizes (P,0.05). This study found that tibial slope increases with opening wedge high tibial osteotomy. Larger corrections and anterior placement of the plate are associated with larger increases in slope. [J Knee Surg. 2008;21:75-79.]

show abstract

Section: Discussionmentioning

confidence: 99%

The Effect of Plate Position and Size on Tibial Slope in High Tibial Osteotomy –A Cadaveric Study

Rubino

Schoderbek²,

Golish³

et al. 2010

J Knee Surg

View full text Add to dashboard Cite

show abstract

“…Generally, patella infera has been described after total [13][14][15][16] and unicompartmental knee replacement [17], high tibial osteotomy [11,[18][19][20], and anterior cruciate ligament reconstruction [21]. Whereas, patella alta has been described in neurological disorders [22], in association with anterior knee pain [23], and femoropatellar instability [24].…”

Section: Discussionmentioning

confidence: 99%

Comparison of five patellar height measurement methods in 90° knee flexion

Anagnostakos

Lorbach

Reiter

et al. 2011

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose The aim of this prospective study was to evaluate the patellar height in 90°knee flexion. Methods A total of 85 patients with 95 knee joints were included in the study. Patellar height was measured according to the Blackburne-Peel, Labelle-Laurin, InsallSalvati, Linclau, and Caton-Deschamps methods in the whole group and in subgroups based on age, gender, and side.Results The BP-ratio showed a patella norma in 45 cases, and in 25 cases a patella alta and infera, respectively. The Labelle-Laurin method determined a patella norma in eight knees, in 35 a patella alta and in 52 a patella infera. The ISratio revealed a patella norma in 52 patients, a patella alta in six and in 37 a patella infera. The Linclau method demonstrated in 52 cases a patella norma, in 17 a patella alta and in 26 a patella infera. The CD-ratio showed the highest values of a patella norma among all tested methods in 67 knees, whereas a patella alta was evident in 13 and a patella infera in 15 cases. In the subgroups, discrepancies depended on the subgroup and method used. Conclusions Our results demonstrate a method-dependent discrepancy in the measurement of patellar height. A future study should evaluate this effect in a direct comparison between 30°and 90°knee flexion.

show abstract

“…In 2006, van Raaij et al 62 proposed an anterior opening wedge osteotomy of the proximal tibia to treat anterior knee pain in knees with idiopathic hyperextension. The authors supposed that the osteotomy could end the repetitive impingement by readdressing knee extension.…”

Section: Clinical Studies On Antirecurvatum Osteotomiesmentioning

confidence: 99%

Sagittal Plane Corrections around the Knee

Dejour¹,

Barbera²,

Pasqualotto³

et al. 2017

J Knee Surg

View full text Add to dashboard Cite

Stability of the knee joint depends on soft tissues integrity and bony balance in the frontal and sagittal planes during gait. Although frontal plane imbalance is a well-known knee pathology, commonly treated by high tibial osteotomy, sagittal plane imbalance is less common, with fewer and more challenging surgical treatment options. The purpose of this review is to describe the biomechanical effects of sagittal knee imbalances and to outline the indications, techniques, and outcomes of sagittal knee osteotomies. The article details the reference axes and methods to measure posterior tibial slope (PTS), the principal indicator of sagittal imbalance, and its influence on anteroposterior tibial translations and rotational stability of the joint. The authors also outline the roles of the anterior and posterior cruciate ligaments in maintaining sagittal balance, with focus on the associations between PTS and ligament deficiencies, as well as posterolateral corner injuries. Different techniques and indications of tibial osteotomy in the sagittal plane, both above and below the anterior tibial tubercle, are compared in terms of technical difficulty, clinical benefits, and complication rates. The authors conclude on the importance of understanding sagittal knee imbalance, particularly in cases of ligament deficiencies, where the deformity can be the primary cause for lesions. Surgeons must identify the underlying deformities associated with sagittal imbalance, which can be recognized on weight-bearing X-rays and magnetic resonance imaging scans. Different techniques of sagittal osteotomies offer effective treatments for certain indications and should be considered in selected cases for unstable knees with ligament lesions.

show abstract

Anterior opening wedge osteotomy of the proximal tibia for anterior knee pain in idiopathic hyperextension knees

Cited by 36 publications

References 15 publications

The Effect of Plate Position and Size on Tibial Slope in High Tibial Osteotomy –A Cadaveric Study

The Effect of Plate Position and Size on Tibial Slope in High Tibial Osteotomy –A Cadaveric Study

Comparison of five patellar height measurement methods in 90° knee flexion

Sagittal Plane Corrections around the Knee

Contact Info

Product

Resources

About